Federal inspection record · CMS data as of October 1, 2026
Four Seasons Rehabilitation & Care
1212 Four Seasons Drive, Durant, OK · (580) 677-9911
- Certified beds
- 122
- Residents per day
- 52
- Ownership
- For-Profit
- Chain
- Elmbrook Management Company
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- September 1, 1995
1
How this home got 3 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Oklahoma.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Oklahoma homes
Four Seasons Rehabilitation & Care carries 37 inspection points. That is fewer than 63% of Oklahoma's 281 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Oklahoma: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–14 pts
- 4★ 14–36 pts
- 3★ 36–55 pts
- 2★ 55–95 pts
- 1★ over 95 pts
Bars show every rated home in Oklahoma by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
25 health citations on record since 2022. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Resident Assessment and Care Planning7E
- E
Ensure each resident receives an accurate assessment.
- E
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Assess the resident when there is a significant change in condition
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Quality of Life and Care7E
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Pharmacy Service3E
- E
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- E
Ensure that residents are free from significant medication errors.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Freedom from Abuse, Neglect, and Exploitation2D
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D
Respond appropriately to all alleged violations.
Nutrition and Dietary2E
- E
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights2E
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- E
Keep residents' personal and medical records private and confidential.
Administration1D
- D
Provide timely, quality laboratory services/tests to meet the needs of residents.
Environmental1D
- D
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Inspection history
2025-05-15
1 health deficiencies · 4 fire-safety deficiencies
Top issue: Pharmacy Service (1 deficiency)
2024-01-29
17 health deficiencies · 3 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (6 deficiencies)
2022-10-28
7 health deficiencies · 2 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 38 min of nursing staff time a day, 32 min of it from a registered nurse.
This home
3 h 38 min
Oklahoma average
3 h 49 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 49% of nursing staff and 50% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine19.7 pts worse | 71.6% | 91.3% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine11 pts worse | 83.7% | 94.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.6 pts worse | 7.4% | 4.8% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms0.6 pts worse | 4.0% | 3.4% | 13.5% |
| Percentage of long-stay residents who lose too much weight4.3 pts worse | 7.5% | 3.2% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication7.8 pts worse | 33.8% | 26.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication5.5 pts better | 12.3% | 17.8% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened11.1 pts worse | 24.1% | 13.0% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased4 pts worse | 17.6% | 13.6% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladderAbout the same | 1.7% | 1.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection2.4 pts worse | 5.1% | 2.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence8.9 pts better | 7.5% | 16.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.7 pts better | 4.0% | 4.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine42.9 pts worse | 33.6% | 76.5% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit7.9 pts better | 7.8% | 15.7% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication3.3 pts worse | 5.1% | 1.8% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine31.4 pts worse | 43.2% | 74.6% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission9.1 pts better | 17.7% | 26.8% | 23.4% |
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Who owns and runs it
13 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Casey, Raymond | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Casey, Raymond | Adp Of The SNF · Individual | 0% | 1 facilities |
| Coble, Tom | Direct Ownership Interest · Individual | 0% | 10 facilities |
| Coble, Tom | Corporate Officer · Individual | 0% | 10 facilities |
| Coble, Tom | Operational/Managerial Control · Individual | 0% | 10 facilities |
| Coble, Tom | Adp Of The SNF · Individual | 0% | 10 facilities |
| Elmbrook Management Company, Inc. | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Elmbrook Management Company, Inc. | Adp Of The SNF · Organization | 0% | 1 facilities |
| Lodes, Jason | Corporate Officer · Individual | 0% | 9 facilities |
| Lodes, Jason | Operational/Managerial Control · Individual | 0% | 9 facilities |
| Lodes, Jason | Adp Of The SNF · Individual | 0% | 9 facilities |
| Plumb, Imran | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Plumb, Imran | Adp Of The SNF · Individual | 0% | 3 facilities |
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Fire safety
9 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke5F
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Have an alternate power supply for its alarm system.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Gas, Vacuum, and Electrical Systems2F
- F
Meet requirements for the installation and maintenance of electrical systems.
- C
Have generator or other power source capable of supplying service within 10 seconds.
Egress2F
- F
Install emergency lighting that can last at least 1 1/2 hours.
- E
Install emergency lighting that can last at least 1 1/2 hours.
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Other homes nearby
-
Oakridge Nursing Center
Durant, OK · Elmbrook Management Company
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 36 min
- Fines
- $14,069
-
The King's Daughters & Sons Nursing Home
Durant, OK
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 4 h 39 min
- Fines
- $15,249
-
Calera Manor
Calera, OK · Bgm Estate
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 2 h 25 min
- Fines
- $0